Provider First Line Business Practice Location Address:
313 E DRINKER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-2408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-347-7127
Provider Business Practice Location Address Fax Number:
570-347-1831
Provider Enumeration Date:
12/10/2010